JUSTIN TAYLOR


Address: 1470 N Broadway St, Suite 100, Lebanon, OH 45036-1744
Phone: 5139321936

JUSTIN TAYLOR (NPI# 1932659620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932659620
Entity Type Individual
Full Name JUSTIN TAYLOR
Credential PA-C
Practice Address 1470 N Broadway St
Suite 100
Lebanon
OH 45036-1744
Practice Telephone 5139321936
Practice Fax Number 5139323105
Mailing Telephone 5139321936
Mailing Fax Number 5139323105
Enumeration Date 2016-10-06
Last Update Date 2016-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50.004858RX OH Physician Assistants & Advanced Practice Nursing Providers

Other Providers JUSTIN TAYLOR

NPI Name Taxonomy Address Enumeration
1770925596 Justin Michael Taylor Chiropractor 533 S York St, Elmhurst, IL 60126-3951 2013-07-22
1447510755 Justin Alexander Taylor Anesthesiology 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 2012-05-21
1013520691 Justin Vaughn Taylor Pharmacist 926 S Broadway St, Georgetown, KY 40324-1471 2020-08-25
1487270369 Justin Taylor Student in an Organized Health Care Education/Training Program 983075 Nebraska Medical Ctr, Omaha, NE 68198-3075 2020-06-17
1699314765 Justin J Taylor Assisted Living Facility 2020 Ridgeview Dr, International Falls, MN 56649-3829 2020-01-06
1952828519 Justin Taylor Pharmacist 2319 York Rd, Jamison, PA 18929-1037 2017-08-24
1396290102 Justin Taylor Technician 900 W Choctaw Ave, Chickasha, OK 73018-2213 2016-08-22
1962892273 Justin Taylor Chiropractor 1075 Se Baseline St, Hillsboro, OR 97123-4394 2015-01-26
1437557105 Justin Taylor Counselor 19 E Ormond Ave, Cherry Hill, NJ 08034-2053 2014-12-12
1962821579 Justin Taylor Student in an Organized Health Care Education/Training Program Walter Reed National Military Ctr, 8901 Rockville Pike, Bethesda, MD 20889-0001 2014-04-10

Office Location

Street Address 1470 N BROADWAY ST
SUITE 100
City LEBANON
State OH
Zip Code 45036-1744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265414718 April Gardner Family Medicine 1470 N Broadway St, Suite 100, Lebanon, OH 45036-1206 2005-11-18
1487090809 Associated Foot and Ankle Specialists of Ohio Inc Podiatrist 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1744 2013-05-13
1023256401 Internal Medicine Care, Inc Internal Medicine 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1206 2009-01-23
1083696538 Broadway Family Medicine Inc Family Medicine 1470 N Broadway St, Suite100, Lebanon, OH 45036-1744 2005-11-18
1578566097 Gary P Hayes Family Medicine 1470 N Broadway St, Suite 130, Lebanon, OH 45036-1744 2005-05-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205479458 Natasha Denney Arentz Nurse Practitioner 5787 Oh-63, Lebanon, OH 45036 2019-10-21
1265086573 Eric Stone Counselor 5234 Oh-63, Lebanon, OH 45036 2019-07-25
1548730401 Crystal Prater Counselor 5234 W Sr 63, Lebanon, OH 45036 2018-12-04
1922574284 Ellen L Fink Counselor 5234 Sr 63, Lebanon, OH 45036 2018-10-15
1255832275 Primary Care Partners of Ohio Family Medicine 726 E Main St Ste F205, Lebanon, OH 45036 2018-02-25
1548769599 Chelsea R Perkins Case Manager/Care Coordinator 975 Kingsview Drive Bldg B, Lebanon, OH 45036 2018-02-06
1184133829 Mary Bennett Speech-Language Pathologist 6760 Oh St Rt. 34, Lynchburg, OH 45036 2017-09-26
1699292912 Robert Earl Offutt Counselor 5234 State Rt.63, Lebanon, OH 45036 2017-08-28
1407381528 Kari Bump Counselor 320 E Silver St, Lebanon, OH 45036 2017-04-26
1154780435 Ohio Department of Rehabilitation and Correction Public Health or Welfare State Route 63, Lebanon, OH 45036 2016-02-16
Find all providers in zip 45036

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275154536 Hannah Stefanik Physician Assistant 1434 E 400 S, Lebanon, IN 46052-9761 2020-04-28
1144869546 Jared W Swain Physician Assistant 7 Kimball St Apt 20, Lebanon, NH 03766-1736 2020-01-02
1225511801 Thomas Carroll Physician Assistant 1633 W Main St Ste 300, Lebanon, TN 37087-7800 2018-09-10
1962863241 Jonathan David Barnett Physician Assistant 1420 W Baddour Pkwy Ste 110, Lebanon, TN 37087-1510 2016-03-14
1942684584 Samantha Pellechio Physician Assistant 60 Haytown Rd, Lebanon, NJ 08833-4004 2015-07-14
1386035756 Whitney Hanor Physician Assistant 720 Spring Meadow Ln, Lebanon, TN 37087-3397 2015-02-06
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1144510538 Derek Varney Physician Assistant 735 Norman Dr # Dr3, Lebanon, PA 17042-7559 2011-04-19
1457656902 Scott Darron Fowler Physician Assistant 155 Legends Drive, Suite I, Lebanon, TN 37087 2011-01-13
1043408503 Peter A Rosenblum Physician Assistant 525 N. Santiam Hwy., Lebanon, OR 97355-3982 2007-10-10
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 45036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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